Provider Demographics
NPI:1508279878
Name:CASEYS HEALING HOOVES EQUINE ASSISTED THERAPY AND RESCUE INC
Entity Type:Organization
Organization Name:CASEYS HEALING HOOVES EQUINE ASSISTED THERAPY AND RESCUE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:727-645-2819
Mailing Address - Street 1:13116 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34669-1342
Mailing Address - Country:US
Mailing Address - Phone:727-645-2819
Mailing Address - Fax:
Practice Address - Street 1:13116 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34669-1342
Practice Address - Country:US
Practice Address - Phone:727-645-2819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health